Epidemiological and clinical characteristics in patients with nonvalvular atrial fibrillation
Abstract
Introduction: atrial fibrillation is the arrhythmia that occurs most frequently in clinical practice, it is the cause of high hospitalization and requires adequate anticoagulant treatment.
Objective: to describe some of the demographic, epidemiological and clinical characteristics of patients with nonvalvular atrial fibrillation.
Methods: a cross-sectional study was carried out in patients admitted to the General Provincial Teaching Hospital of Ciego de Ávila during the three-year period January/2015-December/2017. The study included 194 patients who met the inclusion criteria. Data were collected from medical records. The CHA2DS2-VASc and HAS-BLED scales were used to assess thromboembolic and bleeding risk. The ethical principles were fulfilled.
Results: the male sex predominated (54.12 %), the age group between 51 and 75 years in both sexes (13.92 %, male and 11.86 %, female), arterial hypertension as a risk factor (73,20 %) and permanent atrial fibrillation as typology (67.53 %). Just over half had criteria for anticoagulation (55.67 %) and about a third (33.51%) had an increased risk of bleeding. Only 20.10 % had an anticoagulant prescription.
Conclusions: the male sex predominated, between 51 and 60 years old, with arterial hypertension as a risk factor and the permanent typology of atrial fibrillation, with criteria for anticoagulant treatment that had not prescribed it yet